The Science Journal of the American Association for Respiratory Care

2011 OPEN FORUM Abstracts


Kimberly Beers, Richard Piekutowski, Phillip Stark, Bradley Satteson; Respiratory Care, The Pennsylvania State University's Milton S. Hershey Medical Center, Hershey, PA

Background: In the past, obtaining proficiency in high risk-low volume emergency procedures was gained only through real clinical experience. In efforts to prepare for situations that may lead to sentinel events, a high fidelity simulation was developed as a departmental competency. Method: The focus of the simulation was emergency management of a dislodged ETT, where the therapist would extubate and effectively bag mask ventilate the patient. Prior to the start of the simulation, therapists were introduced to the layout of the ICU room, available resources, and the interactive environment but were not informed of the scenario. The METI-HPS (METI Learning, Sarasota, FL) was utilized as the high fidelity patient. The simulation was videotaped, allowing each participant to review their performance. An hour was allocated for each participant to complete the simulation which consisted of a briefing, simulation run, and debriefing. Therapists were then asked to complete a survey. Results: 67 therapists completed the simulation. Providing an online survey at the end of the simulation ensured 100% participation in completing the survey. 100% of the participants thought that utilizing high fidelity simulation has the ability to improve patient care. 97% of therapists felt that they are better equipped to deal with the same clinical emergency in an actual ICU setting. Using high fidelity simulation, 100% of the participants felt that it enhanced their continuing education and 94% felt that simulation learning was their preferred learning style. Additional Findings: The impact and effectiveness of the simulation training created a larger teaching agenda than expected. This agenda included: airway management, patient assessment, waveform analysis, capnography, hospital policies and the new AHA guidelines. Conclusions: Participants reported increased confidence their ability to approach this type of high risk-low volume emergency situation. The reduction of sentinel events was not directly measured however, therapists felt better prepared in their prevention. Key Terms: experiential learning, high fidelity simulation, sentinel event
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